Si'Mone Leanna Camper, CPHT

Individual provider Active NPI Pharmacy Technician · Box Elder, MT

NPI 1346080165 · NPPES record last updated May 29, 2024

Key facts

NPI
1346080165
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacy Technician 183700000X
License
30269412 (MT)
Practice address
143 Black Prairie St
Box Elder, MT 59521-8759
Phone
(406) 879-9314
NPI assigned
May 29, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
30269412MTMDPharmacy Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 30269412 MT Yes

Addresses

Primary practice location

143 Black Prairie St
Box Elder, MT 59521-8759

Mailing address

143 Black Prairie St
Box Elder, MT 59521-8759
Phone (406) 879-9314

Other practice location 1

6850 Upper Box Elder Rd
Box Elder, MT 59521-9073
Phone (406) 395-4486

Other providers in Box Elder, MT

All providers in Box Elder, MT · Pharmacy Technician in Montana

Sources for this page

Verify at the official NPI Registry.